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Prescription Required
Formulation : Tablet
Drug Name Dosage Quantity Price Buy Now
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Nexium
Dosage: 20mg
Quantity: 84
Price: $61.30
Nexium
Dosage: 40mg
Quantity: 28
Price: $58.20
Nexium
Dosage: 40mg
Quantity: 84
Price: $57.70

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Esomeprazole

Prescription Required
Formulation : Delayed Release Tablet (Enteric Coated)
Drug Name Dosage Quantity Price Buy Now
Esomeprazole 20mg 90 $43.50 Add To Cart
Esomeprazole 40mg 90 $51.30 Add To Cart
Esomeprazole
Dosage: 20mg
Quantity: 90
Price: $43.50
Esomeprazole
Dosage: 40mg
Quantity: 90
Price: $51.30

Indications

Nexium is an antacid medication that is effective in treating all acid-related disorders such as gastroesophageal reflux by reducing acid.

Esomeprazole is a proton pump inhibitor (PPI) that decreases the production of stomach acid. By doing this, Nexium can help treat symptoms from hypersecretory conditions such as Zollinger-Ellison syndrome. The medication also helps prevent NSAIDs-associated gastric ulcers and Helicobacter pylori eradication.

This medication reduces stomach acid to help relieve heartburn symptoms. Nexium may also be used to promote healing from damage in your esophagus caused by stomach acid. Esomeprazole is a potent and effective PPI that has been found to be well tolerated with a low incidence of adverse effects.

Uses and Dosage

The dose of Nexium prescribed will vary depending on the individual and condition being treated. Follow your doctor’s instructions and those on the packaging.

  • Take at least one hour before a meal
  • Do not crush or chew the tablet
  • To ease swallowing, you can sprinkle the medicine into pudding or applesauce
  • Take each dose with a full glass of water
  • Most adults start by taking 20mg once daily
  • Nexium may take 1 to 4 days for full effect
  • Use Nexium for the full time prescribed
  • Contact your doctor if your symptoms don’t improve or worsen
  • Tell medical professionals you take esomeprazole, it can affect some medical tests
  • Store at room temperature away from moisture

Side Effects

Nexium may cause some side effects while it reduces your body’s production of stomach acid. Consult with your doctor for more information regarding any symptoms you may encounter when taking esomeprazole.

Common Nexium side effects:

  • Headache
  • Diarrhea
  • Nausea, stomach pain, gas
  • Constipation
  • Dry mouth

Serious side effects

Some more serious side effects may occur when taking esomeprazole. Stop using Nexium and call your doctor right away if you notice any of the following symptoms:

  • Severe stomach pain
  • Watery or bloody diarrhea
  • Kidney problems (fever, rash, nausea, decreased appetite, joint pain, urinating less than usua, blood in urine, weight gain)
  • Low magnesium (dizziness, fast or irregular heart rate, tremors or jerking muscles, feeling jittery, muscle cramps, muscle spasms in hands and feet, cough or choking feeling)
  • New or worsening symptoms of lupus (joint pain, skin rash on your cheeks or arms that worsens under sunlight)

Taking Nexium for longer than 14 days at a time may cause stomach growths called fundic gland polyps to develop. Consult with your doctor about this risk if your treatment plan is long term.

If you use Nexium for longer than 3 years you may develop a vitamin B-12 deficiency. Your doctor can help you manage this condition if it develops.

Allergic Reactions

Do not take Nexium if you are allergic to esomeprazole or similar medications such as lansoprazole, omeprazole, pantoprazole, or rabeprazole. If you notice signs of an allergic reaction, stop taking this medication and call your doctor.

Nexium allergy symptoms may include:

  • Hives
  • Trouble breathing
  • Swelling of face, lips, tongue, or throat

Cautions

Nexium can cause kidney problems; monitor your symptoms and tell your doctor if you are urinating less often or if you have blood in your urine.

Diarrhea could be a sign of a new infection. If you have watery or bloody diarrhea, call you doctor.

Some may encounter new or worsening symptoms of lupus when taking esomeprazole. Tell your doctor if you notice any joint pain or a skin rash that worsens in the sun.

Your bones may be more easily broken when Nexium is taken long term or more than once per day.

Heartburn can mimic early signs of a heart attack. If you have chest pain that spreads from your jaw or should and you feel anxious or light-headed, seek immediate medical help.

Avoid taking this medication if you have had breathing or kidney problems.

To ensure the safety of taking this medication, tell your doctor if you have ever had any of the following:

  • Severe liver disease
  • Lupus
  • Osteoporosis or low bone mineral density
  • Low levels of magnesium in your blood

Consult with your doctor before taking Nexium if you are pregnant or breastfeeding.

Some medications can affect esomeprazole. Tell your doctor about all the medications you take, especially the following:

  • Cilostazol
  • Clopidogrel
  • Diazepam
  • Digoxin
  • Erlotinib
  • Medicines containing iron
  • Methotrexate
  • Mycophenolate mofetil
  • Rifampin
  • St. John’s wort
  • Tacrolimus
  • Warfarin
  • Antifungal medication
  • HIV/AIDS medication

Over the counter medicines, vitamins, and herbal products may also interact with esomeprazole.

Form and Strength

This medication is available as delayed release tablets.

Nexium tablet strengths:

  • 20mg
  • 40mg

The 20mg Nexium delayed-release tablets are available in quantities of 90 while the 40mg tablets are available in groups of 28 and 84.

FAQ

What’s the difference between Nexium and Prilosec?

Both medications are proton pump inhibitors (PPIs) but Prilosec contains a mix of two omeprazole isomers while Nexium contains a single isomer of esomeprazole. The two drugs function similarly, but there is some evidence to suggest Nexium is more effective at controlling acid production and lasts for longer.

How long does it take for Nexium to work?

Nexium should improve your symptoms within 1 to 4 days after your first dose. Make sure you take this medication for the entire length of time prescribed, even if your symptoms resolve. This medication is not intended for immediate release, but it does take affect sooner than some other PPIs.

Resources:

  1. https://pubmed.ncbi.nlm.nih.gov/19210109/
  2. https://pubmed.ncbi.nlm.nih.gov/18627213/
  3. https://www.drugs.com/nexium.html
  4. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4513934d-0cf0-40fc-a348-b4e75a33b094

Additional information

Brand Name:

Nexium

Scientific Name:

Esomeprazole

Other Names:

Izra, Nexium, Nexpro

Strength(s):

20mg, 40mg

Quantities Available:

28, 84, 90

Formulation:

Delayed Release Tablet, Delayed Release Tablet (Enteric Coated), Tablet